电子健康素养研究的时代演进

摘要/Abstract

摘要：

在“互联网+医疗”背景下，电子健康应运而生。电子健康借助信息和通信技术等方式，帮助和加强医疗健康领域的预防、诊断、监控、治疗和管理等一系列服务过程。在此背景下，电子健康素养成为了衡量个体能否有效利用电子健康资源的关键指标。本文从网络时代演进下电子健康素养概念、理论与实践三方面的发展剖析电子健康素养研究的突破，旨在精准界定概念、整合理论、优化实践，构建适应时代的适配体系，为提升公众电子健康素养、优化服务模式提供依据，推动电子健康素养发展。

关键词: 电子健康, 电子健康素养, 概念, 理论模型, 实践, 时代演进

Abstract:

In the context of "Internet+Healthcare"，e-health has emerged. E-health utilizes information and communication technologies to assist and enhance a series of service processes in the field of healthcare，including prevention，diagnosis，monitoring，treatment，and management. Against this backdrop，e-health literacy has become a crucial indicator for measuring an individual's ability to effectively utilize e-health resources. This review analyzes the breakthroughs in e-health literacy research from the perspectives of the development of its concepts，theories，and practices in the evolution of the Internet era. The aim is to precisely define the concept，integrate theories，optimize practices，and construct an adaptive system that suits the times，providing a basis for improving public e-health literacy，optimizing service models，and promoting the development of e-health literacy.

Key words: E-health, E-health literacy, Concept, Theoretical model, Practice, Era evolution

中图分类号:

R193

范玉枝, 郭庆平, 邵虒暄, 李晓涵, 宫庆松, 牛雨欣. 电子健康素养研究的时代演进. [J]职业与健康, 2026, 42(21): 3014-3019.

FAN Yuzhi, GUO Qingping, SHAO Sixuan, LI Xiaohan, GONG Qingsong, NIU Yuxin. Era evolution of e-health literacy research. [J]OCCUPATION AND HEALTH, 2026, 42(21): 3014-3019.

图/表 1

参考文献 43

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工具名称	适应时代	优势与创新点	局限性
eHEALS	Web 1.0	首个通用型量表，普适性强	基于Web 1.0开发，未涵盖Web 2.0交互性
e-HLS	Web 2.0	重点评估信息可信度与质量，特别关注老年用户	纯主观报告，易受自我认知偏差影响
DHLI	Web 2.0	首创实操任务评估模式	实操项目内部一致性低、隐私保护维度信度不足
eHLA	Web 2.0	整合多维度素养测量、快速评估综合素养水平	未体现Web 2.0交互性、部分子量表信度偏低
TeHLI	Web 2.0	基于交互模型开发	仅针对特定疾病群体
MDPQ	Web 2.0	聚焦移动数字技能，覆盖基础到复杂操作，含交互性题目	仅针对移动设备，无法评估计算机等其他数字工具能力
eHLS-Web3.0	Web 3.0	首个针对Web 3.0的评估工具、纳入数据主权管理等新维度	样本局限于大学生，其他群体适用性待验证

工具名称	适应时代	优势与创新点	局限性
eHEALS	Web 1.0	首个通用型量表，普适性强	基于Web 1.0开发，未涵盖Web 2.0交互性
e-HLS	Web 2.0	重点评估信息可信度与质量，特别关注老年用户	纯主观报告，易受自我认知偏差影响
DHLI	Web 2.0	首创实操任务评估模式	实操项目内部一致性低、隐私保护维度信度不足
eHLA	Web 2.0	整合多维度素养测量、快速评估综合素养水平	未体现Web 2.0交互性、部分子量表信度偏低
TeHLI	Web 2.0	基于交互模型开发	仅针对特定疾病群体
MDPQ	Web 2.0	聚焦移动数字技能，覆盖基础到复杂操作，含交互性题目	仅针对移动设备，无法评估计算机等其他数字工具能力
eHLS-Web3.0	Web 3.0	首个针对Web 3.0的评估工具、纳入数据主权管理等新维度	样本局限于大学生，其他群体适用性待验证